Should I Take Medication?

What’s Your Take on Christians Using Antidepressants?

by Pastor John Piper

I’m going to say that there are times when I think it is appropriate, but I want to go there cautiously and slowly, with warnings.

Depression is a very complex thing. It’s got many layers. I think we all would agree that there are conditions in which nobody would deny that certain people are depressed in a pathological way because they’re immobile. They’re not even able to function.

And then there’s a continuum of discouragements and wrestlings with having an ‘Eeyore-type’ personality, which may or may not be depressed.

So that means that I want to be so careful not to have a knee-jerk reaction. When you come into my office and describe to me your discouragements, I don’t want my first response to be, “See a doctor and get a prescription.”

I fear that is way too quick today. The number of people on antidepressants as a first course rather than the last course is large.

And the assumption is that you can’t make any progress in counseling unless you get yourself stabilized or something.

So I just want to be very cautious.

As a Christian who believes that Christ is given by the Holy Spirit to deliver us from discouragements and from unbelief and sorrow and to help us live a life of usefulness, what makes me able to allow for antidepressants is the fact that medicine corresponds to physical realities.

And the physical realities are that we get headaches that make us almost unable to think. Migraine headaches can put a man out. And we are pretty much OK if the doctor can help us find some medicine that would not let us get these immobilizing headaches.

And the headaches clearly have a spiritual impact, because they’re making me unable to read my Bible and function in relation to people that I want to love and serve. And so medicine becomes spiritually effective in that way.

So we apply this principle that we all use to depression, and then the fact that the body is included in depression. Whether we should use the terms “chemical imbalances”—I’ve read both sides on that. Some people say that there is no scientific evidence for such a thing and others say that it is a given. Whatever. Everybody knows that there are physical dimensions to depression.

If that physical dimension could be helped by medicine—in the short run especially, sometimes long term—then I think, in God’s grace and mercy, we should take it as a gift from his hand.

 


© Desiring God, desiringGod.org

John Piper is the Pastor for Preaching at Bethlehem Baptist Church in Minneapolis, Minnesota. He grew up in Greenville, South Carolina, and studied at Wheaton College, where he first sensed God’s call to enter the ministry. He went on to earn degrees from Fuller Theological Seminary (B.D.) and the University of Munich (D.theol.). For six years he taught Biblical Studies at Bethel College in St. Paul, Minnesota, and in 1980 accepted the call to serve as pastor at Bethlehem. John is the author of more than 30 books and more than 25 years of his preaching and teaching is available free at desiringGod.org. John and his wife, Noel, have four sons, one daughter, and an increasing number of grandchildren.

Other Blogs by Linda & Bryan

A Place where His Light Shines Bright

Linda L. Kruschke

Linda writes candid memoir and fearless poetry, and delves into hard issues others tend to avoid. She is also a sexual assault survivor and a recovering lawyer. She wants you to know God’s redemption and healing are just a story away. Because she struggles at times with depression and chronic fibromyalgia pain, she shows compassion to others who do as well. God often teaches her important lessons in everyday events and she shares those lessons with her readers. She publishes a monthly email newsletter that you can subscribe to here.

  • anotherfearlessyear.net – A hodge-podge of poetry, essays, recipes, and more, started in 2009 on a whim as a place to share God’s truth, love, and grace.
  • themighty.com – Linda’s corner of a community of people who struggle together with chronic and mental illnesses, encouraging one another to keep moving forward.
  • anchoredvoices.com – A place for women to use their words and creativity to point each other to the God who anchors the soul. Linda is the resident poet. Guest submissions encouraged.

Bryan Lowe

Bryan is dedicated to serving broken Christians through a message of grace and discipleship. His special focus is ministering to mental illnesses and other disabilities. He has been diagnosed with Bipolar disorder and Lewy Body Dementia. God has called him to write and encourage after 35 years of full-time ministry. He was ordained as a Pastor in 1996.

Bryan’s Testimony–“A Savior of Crazy People

  • gospels101.com A fresh and different look at the people in the Gospels whom met Jesus Christ face-to-face. A new perspective that will make things become alive for the reader.
  • redletterstudy.com A walk with Jesus through the “red letters” of scripture, examining the words and miracles of Jesus Christ. In many Bibles his words are in red, that is the thought behind this blog. It’s also a devotional study with simple entries that are short, and hopefully a blessing.
  • parables101.com This is a devotional look at the parables Jesus used and the Kingdom insights that explain the way it meets us.
  • songsstudy.wordpress.com Considering the love of Jesus for your soul. Short devotional posts that survey the Book of Song of Solomon, passage by passage.

There has never been the slightest doubt in my mind that the God who started this great work in you would keep at it and bring it to a flourishing finish on the very day Christ Jesus appears.

Philippians 1:6, The Message Bible

The Snare of the Fowler, A Satanic Trap

“Surely He shall deliver you from the snare of the fowler, and from the perilous pestilence.”

He shall cover you with His feathers,
And under His wings you shall take refuge;
His truth shall be your shield and buckler.”

Psalm 91:3-4, NKJV

“There is no neutral ground in the universe; every square inch, every split second, is claimed by God and counter-claimed by Satan.”

C.S. Lewis

I believe that there is a great opposition to living free. Satan contests every square inch. His ‘modus operandi’ parallels the predator. He likes to hunt human beings. We see his power and influence all around us.

I’m being quite careful not to be melodramatic or manipulative when I say this, but Satan has a terrible plan for your life. He often uses human ‘lackies’ to carry out his wishes.They will use deception, lies and foolishness to snare people’s souls. They [he] will even resort to brute force. As a result, many believers are being persecuted for their faith.

Some Old Testament thoughts:
14 “David now stayed in the strongholds of the wilderness and in the hill country of Ziph. Saul hunted him day after day, but God didn’t let Saul find him.”
1 Samuel 23:14, NLT
5 “My future is in your hands.  Rescue me from those who hunt me down relentlessly.”
Psalm 31:15
7 “We escaped like a bird from a hunter’s trap. The trap is broken, and we are free!”
Psalm 124:7

And there is plenty more where this come from. And we haven’t even got to the New Testament yet, where there are substantial references to this kind of attack. The doctrine of Satan is developed further there. Perhaps it is because we encounter the person of Jesus Christ and the act of personal redemption He made for each of us. Through this we discover that we have an enemy that we were never really aware before. And guess what— he hates us!

Some New Testament thoughts:
4 “Satan, who is the god of this world, has blinded the minds of those who don’t believe. They are unable to see the glorious light of the Good News.”
2 Corinthians 4:4
12 “For we are not fighting against flesh-and-blood enemies, but against evil rulers and authorities of the unseen world, against mighty powers in this dark world, and against evil spirits in the heavenly places.”
Ephesians 6:12

Just as we have in Jesus a personal savior, we find we also have an anagonist and a sworn enemy that is set on going to war on us. We didn’t ask for it, and it would be really swell if he didn’t exist at all. But the evil around us has a source  and we dare not minimize it.

Our fealty to Jesus becomes critical at times like this. Spiritual warfare has an ebb and a flow to it, sometimes the battles can be intense, and at other times less so. But we cannot do nothing at all apart from the blood of Christ. We must defend ourselves, by calling out to God, or else we will become a casualty.

  1. We can pray.
  2. We can read truth (the Bible).
  3. We can praise and worship.
  4. We can put on “the armor of God’ (Ephesians 6:11).
  5. We can “submit to God” (James 4:7).
  6. We can resist Satan and be firm in our faith, (1 Peter 5:9).
  7. We can “plead the blood of Jesus” over our lives, and over our loved ones, (Exodus 12:13)

Probably the capstone is the following verse. This pretty much sums up this ‘act of resistance’ we are all called to do. I wanted to emphasize it because it is critical:

Stay alert! Watch out for your great enemy, the devil. He prowls around like a roaring lion, looking for someone to devour.”

1 Peter 5:8

Listening to the Spirit’s Nudge

Did you ever get the urge to call someone you hadn’t talked to in a while? Or to send an email to a friend you hadn’t seen in ages? I know you have — we all get those thoughts and urges seemingly out of the blue.

The more important question is, do you listen and follow through?

 Do you pick up the phone or compose that email? Or do you just let it pass?

The older I get the more I realize that those thoughts and urges to contact someone I haven’t thought of in a long time is really the Holy Spirit nudging me to be there for that person when they need it most. God created us to be in relationship with Him and with others, and He delights when we heed His nudge and provide support to others when He knows they need it most.

This kind of Holy Spirit nudge happened to me just last week.

It had been over a month since I had posted anything here at Broken Believers, and hadn’t really thought about Pastor Bryan or the folks who read this blog for a while because I was wrapped up in my own life. I guess I figured Bryan had it handled and would keep the fires burning here for the many Christians struggling with mental illness and in need of support.

Then last week I had this overwhelming urge to post something here, and the phrase “melancholy beckons me” kept running through my head as a post topic (which I did post last Saturday). I heeded the Spirit’s urging to post something, only to discover that Bryan’s computer had died and he was unable to post anything, and will be out of commission for a few more days at least.

I didn’t know that he was experiencing this problem, but God did. And I believe God knew that it was important for the lifeline that is Broken Believers not be set adrift even for a week.

So I am here to help because the Holy Spirit nudged.

He does that, you know, more often than we’d like to admit. For the broken believers of the world, and those who know and love them, I believe that heeding the Spirit’s nudge is of the utmost importance. He made us to be in relationship — to uphold, encourage, and strengthen one another in times of trial and darkness — and what a blessing it is when we follow His lead.

If you have any encouragement from being united with Christ, if any comfort from his love, if any fellowship with the Spirit, if any tenderness and compassion, then make my joy complete by being like-minded, having the same love, being one in spirit and purpose. Philippians 2:1-2 (NIV).

 

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